PHOENIX RISEN, LLC
NPI 1750117784
Community/Behavioral Health in Louisville, KY

Q: What is Phoenix Risen, LLC's NPI number?

The NPI number for Phoenix Risen, LLC is 1750117784. It was assigned to this organization in the NPPES registry on September 9, 2024.

Q: What is Phoenix Risen, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since September 09, 2024

2112 RATCLIFFE AVE, LOUISVILLE, KY 40210(804) 651-2688 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Phoenix Risen, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX RISEN, LLC (NPI 1750117784) is a healthcare organization registered as a community/behavioral health in Louisville, Kentucky and active in the NPI registry since September 2024. The organization lists Chiquita Conner, Owner, as its authorized official.

NPPES Registry Identity

NPI1750117784

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePHOENIX RISEN, LLC

Location Address2112 RATCLIFFE AVELouisville, KY 40210-2252

Mailing Address6709 Rebecca LnLouisville, KY 40258-3011 · (804) 651-2688

Phone(804) 651-2688

Organization SubpartNo

Authorized OfficialChiquita ConnerOwner · (804) 651-2688

Enumeration DateSeptember 9, 2024

NPPES CertifiedSeptember 8, 2024

✔ NPI 1750117784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2112 RATCLIFFE AVE, Louisville, KY 40210

Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHIQUITA CONNER CSA

Community Health Worker

2112 RATCLIFFE AVE
LOUISVILLE, KY 40210

Jefferson County (804) 651-2688

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Risen, LLC's NPI number?

The NPI number for Phoenix Risen, LLC is 1750117784. It was assigned to this organization in the NPPES registry on September 9, 2024.

Where is Phoenix Risen, LLC located?

Phoenix Risen, LLC is located at 2112 Ratcliffe Ave, Louisville, KY 40210. The listed phone number is (804) 651-2688.

What is Phoenix Risen, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Risen, LLC was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.